Islam, Shabatun Jamila

Islam, Shabatun Jamila is an individual health care provider with primary practice located at 732 Harrison Avenue Preston Bldg Fl 3, Boston MA 02118-2908. She recently has only one registered license in Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology, which is considered as her primary health care specialty. Islam, Shabatun Jamila can be contacted via phone (617) 638-7490.

Contact Information

Primary practice address
732 Harrison Avenue Preston Bldg Fl 3 Boston MA 02118-2908
Phone: (617) 638-7490
Fax: (617) 414-8742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X 1014338 Massachusetts

Profile Details

NPI number 1932562782
LBN Legal business name Islam, Shabatun Jamila
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2016
Last updated Jul 17th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932562782 NPPES
Massachusetts MEDICAID 110116730A

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